Landry, Matt Jude
Landry, Matt Jude is an individual health care provider with primary practice located at 443 Heymann Blvd Ste. B, Lafayette LA 70503-2630. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Landry, Matt Jude can be contacted via phone (337) 289-8429.Contact Information
Primary practice address
443 Heymann Blvd Ste. B
Lafayette LA 70503-2630
Phone: (337) 289-8429
Fax: (337) 289-8431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | AP06784 | Louisiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP06784 | Louisiana |
Profile Details
| NPI number | 1861766206 |
|---|---|
| LBN Legal business name | Landry, Matt Jude |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2012 |
| Last updated | Mar 15th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861766206 | NPPES |
| Louisiana | MEDICAID | 2193601 |
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